Organization Active NPI

Sequel of Oklahoma, LLC

  • Psychiatric Residential Treatment Facility
  • Oklahoma City, OK
National Provider Identifier
1306964077
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
K850000367 Issued in OK
Legal business name
SEQUEL OF OKLAHOMA, LLC
Practice address
3301 N Martin Luther King Avenue
Oklahoma City, OK 73111-4216
Phone
(405) 548-1280
Fax
(405) 548-1299
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Diane E. Bedell, RN MS
Title
Executive Director/Don
Phone
(405) 417-3341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Psychiatric Residential Treatment Facility 323P00000X K850000367 OK Primary

Addresses

Primary practice location

3301 N Martin Luther King Avenue
Oklahoma City, OK 73111-4216

Mailing address

3301 N Martin Luther King Avenue
Oklahoma City, OK 73111-4216
Phone (405) 548-1280

Other identifiers 1

IdentifierTypeStateIssuer
200106860BMedicaidOK

Other names 1

  • Rose Rock Academy Doing business as

National Provider Directory

National Provider Directory

Locations

3301 N Martin Luther King Ave
Oklahoma City, OK 73111
Phone (405) 548-1280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1306964077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N MARTIN LUTHER KING AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114216",
            "telephone_number": "405-548-1280",
            "fax_number": "405-548-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MARTIN LUTHER KING AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114216",
            "telephone_number": "405-548-1280",
            "fax_number": "405-548-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/DON",
        "authorized_official_telephone_number": "405-417-3341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OK",
            "license": "K850000367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106860B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Rock Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.